10. Childhood Disorders: Physical Development Flashcards Preview

M2 Psychiatry > 10. Childhood Disorders: Physical Development > Flashcards

Flashcards in 10. Childhood Disorders: Physical Development Deck (38)
Loading flashcards...
1

at what age should a person smile spontaneously?

1 month

2

at what age should a person smile responsively?

2 mos

3

at what age should a person work for a toy?

5 m

4

at what age should a person wave bye-bye?

8m

5

at what age should a person indicate want by crying/pointing?

10m

6

at what age should a person play simple games?

12 m

7

at what age should a person laugh?

2-4 months

8

at what age should a person turn in response to a voice?

3-7 m

9

at what age should a person babble, say mama/dada?

7-10m

10

at what age should a person say mama/dada specifically?

7-14m

11

at what age should a person have 3 words?

15m

12

by 18 months, what should a kid be saying/doing?

should have at least 1-2 words at minumum, should want variety in play, should want to interact with caregivers

13

if a child is nonverbal, what is the differential?

ear/nerve, brain (processing, stroke, autism spectrum), genetic problems

14

autism is an impairment of what areas?

communication, social interactions, with preference for non-functional repetitive actions, decline in imaginative play

15

ratio of boys:girls with autism?

4:1

16

what is Rett syndrome?

uncommon cause of autistic behavior. Xlinked gene, only found in girls (fatal for males)

17

what is the impact of an older father on ASD?

fathers >40y are 6x more likely to have a child with autism than fathers <30y

18

DSM4 criteria for autistic disorder?

6 items total from a list: at least 2 impairments in social interaction, at least 1 impairment in communication, at least 1 stereotyped/repetitive pattern of behavior

19

a few items from the physical exam that could suggest autism spectrum disorder

macrocephaly, exaggerated facial features, difficulty with attention or hyper/hypoactivity, toe-walking or poor coordination

20

A young mother brings in her 20 month old son who is not walking yet. Are you concerned?

Yes, even not walking at 18 months is concerning

21

At what age should a person be able to lift head 45 deg?

0-3 m

22

At what age should a person be able to lift chest and head up with arm support?

3-5m

23

At what age should a person be able to roll over?

2-5m (though wide range; depends on how fat!)

24

At what age should a person be able to sit freely?

6-8m

25

At what age should a person be able to stand holding on to something?

7-8m

26

At what age should a person be able to stand for 2 secs?

10-13m

27

At what age should a person be able to walk well?

10-16m

28

What is Gower's sign? what does it suggest?

typical of duchennes muscular dystrophy. Have to tripod, walk up own legs to stand up

29

examples of fine motor coordination?

picking up a raisin
holding spoon
using crayon
toys: stacking and matching

30

by what age should a person be able to grasp a finger, un-fist hand?

3m

31

by what age should a person be able to extend and rake with hand, bring to mouth?

4m

32

by what age should a person be able to rake pellet into hand, hold a cube?

6m

33

by what age should a person be able to clap?

7m

34

by what age should a person be able to pinch-grasp between lateral thumb and proximal index finger?

9m

35

by what age should a person be able to pinch-grasp between pad of index and thumb, or point?

10m

36

by what age should a person be able to pinch-grasp between fingertips?

12m

37

what is cerebral palsy?

non-progressive movement disorder, causing physical disability

38

what are a few areas of treatment for CP?

limb braces, physical and occupational therapy, crutches, wheelchairs, meds, surgery